OTY SHAPIRO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061020

License Status

NOT RENEWED

Business

First Name

OTY

Last Name

SHAPIRO

Suffix

Business Name

OTY SHAPIRO MD

Original Issue Date

09/11/1980

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60634

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011